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中華民國泌尿科醫學會雜誌

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篇名 Extracorporeal Shock Wave Lithotripsy of Renal Calculi with Siemens Lithostar 2 System-C
卷期 7:1
並列篇名 使用Lithostar 2 System-C體外震波碎石機治療腎臟結石
作者 仇光宇黃一勝莊光達葉忠信鄭以弘
頁次 23-29
關鍵字 尿路結石體外震波碎石術renal calculiextracorporeal shock wave lithotripsyTSCI
出刊日期 199603

中文摘要

從1993年8月至1994年12月,本院使用Siemens Lithostar 2 syst4em-C型體外震波碎石機治療腎臟結石共621例。平均尿石大小為4-63mm。平均莀波數2,806±28。最大使用能量之平均數為16.7±5.4kv。31.1%的病例需施行術前或術後的輔助處置。總成功率為49.2%。31.9%的病例在三個月的追蹤後尿石完全消失;但是仍有10.1%的尿石需要做第二次以上的碎石術。由本研究之結果顯示,改良型的第二代體外震波碎石機並不能表現出其優點其他第二代機種的地方。我們認為,術前仔細的篩選病人、術後經常的追蹤、新陳代謝評估、以及適當的藥物治療,可以提供更高的結石治癒率以及預防結石的再生。

英文摘要

Between August 1993 and December 1994, a total of 621 patients with renal stones were treated with extracorporeal shock wave lithotripsy (ESWL) in our hospital. We used Siemens Lithostar 2 system-C, being recognized as an upgraded second generation lithotriptor, for ESWL. The stones burden were 4mm-63mm. The average shock wave number delivered was 2,798±697 for each session. The average maximal energy delivered was 16.41±1.27kv. The auxilliary procedures were performed before and after ESWL in 31.1% (193/621) and 3.4% (21/621) of treatments. The success rate and stone- free rate were 49.2% and 31.9% after 3-month follow-up, respectively. The retreatment rate was 10.1% (63/621). Based on the results of this study, the upgraded second generation lithotriptor did not offer a better quality in treating renal calculi compared to the other second generation lithotriptors. Patients with residual fragments should be followed up regularly, and the more aggressive managements should be considered for them.

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